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SE510753C2 - Use of a strain of Lactobacillus for the manufacture of a drug for reducing fibrinogen content in blood - Google Patents

Use of a strain of Lactobacillus for the manufacture of a drug for reducing fibrinogen content in blood

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Publication number
SE510753C2
SE510753C2 SE9702860A SE9702860A SE510753C2 SE 510753 C2 SE510753 C2 SE 510753C2 SE 9702860 A SE9702860 A SE 9702860A SE 9702860 A SE9702860 A SE 9702860A SE 510753 C2 SE510753 C2 SE 510753C2
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Prior art keywords
lactobacillus
strain
manufacture
blood
levels
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SE9702860A
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SE9702860L (en
SE9702860D0 (en
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Hanna Bukowska
Merek Naruszewicz
Marie-Louise Johansson
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Probi Ab
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Priority to SE9702860A priority Critical patent/SE510753C2/en
Publication of SE9702860D0 publication Critical patent/SE9702860D0/en
Priority to ZA986769A priority patent/ZA986769B/en
Priority to US09/485,190 priority patent/US6214336B1/en
Priority to PCT/SE1998/001423 priority patent/WO1999007827A1/en
Priority to AT98934131T priority patent/ATE326524T1/en
Priority to AU83726/98A priority patent/AU729413B2/en
Priority to PL98338578A priority patent/PL194697B1/en
Priority to DE69834560T priority patent/DE69834560T2/en
Priority to BR9811825-0A priority patent/BR9811825A/en
Priority to KR10-2000-7001211A priority patent/KR100517755B1/en
Priority to JP2000506312A priority patent/JP4651814B2/en
Priority to EP98934131A priority patent/EP0990024B1/en
Priority to CNB988076357A priority patent/CN1142995C/en
Priority to CA2297023A priority patent/CA2297023C/en
Priority to NZ502610A priority patent/NZ502610A/en
Priority to ES98934131T priority patent/ES2259457T3/en
Priority to IL13411398A priority patent/IL134113A0/en
Priority to ARP980103872A priority patent/AR016798A1/en
Publication of SE9702860L publication Critical patent/SE9702860L/en
Publication of SE510753C2 publication Critical patent/SE510753C2/en
Priority to NO20000268A priority patent/NO324881B1/en

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    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00Medicinal preparations containing materials or reaction products thereof with undetermined constitution
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    • A61K35/741Probiotics
    • A61K35/744Lactic acid bacteria, e.g. enterococci, pediococci, lactococci, streptococci or leuconostocs
    • A61K35/747Lactobacilli, e.g. L. acidophilus or L. brevis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00Drugs for disorders of the blood or the extracellular fluid
    • A61P7/02Antithrombotic agents; Anticoagulants; Platelet aggregation inhibitors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/10Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
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    • Y10STECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S435/00Chemistry: molecular biology and microbiology
    • Y10S435/8215Microorganisms
    • Y10S435/822Microorganisms using bacteria or actinomycetales
    • Y10S435/853Lactobacillus
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10STECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S435/00Chemistry: molecular biology and microbiology
    • Y10S435/8215Microorganisms
    • Y10S435/822Microorganisms using bacteria or actinomycetales
    • Y10S435/853Lactobacillus
    • Y10S435/856Lactobacillus casei
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10STECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S435/00Chemistry: molecular biology and microbiology
    • Y10S435/8215Microorganisms
    • Y10S435/822Microorganisms using bacteria or actinomycetales
    • Y10S435/853Lactobacillus
    • Y10S435/857Lactobacillus plantarum

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Abstract

The invention refers to the use of a strain of Lactobacillus for the manufacture of a medicament for reduction of the fibrinogen level, and optionally cholesterol level, in blood. Said medicament can be utilized for the prophylaxis and/or treatment of circulatory diseases.

Description

510 753 2 satsen att fibrinogen patofysiologiskt är relaterat till kardiovaskulära händelser och kan betraktas som en väsentlig kardiovaskulär riskfaktor. 510 753 2 theorem that fibrinogen is pathophysiologically related to cardiovascular events and can be considered a significant cardiovascular risk factor.

Det finns flera determinanter för fibrinogenhalten vid hälsa och sjukdom, varav några ej kan påverkas såsom ålder, kön och arv. Andra som kan förändras är livsstildeterminanter såsom rökning, stillasittande, diet och stress.There are several determinants of fibrinogen content in health and disease, some of which can not be affected such as age, sex and heredity. Others that can change are lifestyle determinants such as smoking, sedentary, diet and stress.

En ökad kolesterolhalt, liksom ett förhöjt blodtryck utgör andra viktiga riskfaktorer för hjärtsjukdomar. Serum- kolesterolhalter avser allmänt en kombination av HDL, lipo- proteiner med hög densitet, och LDL, lipoproteiner med låg densitet. Ökade halter av LDL kolesterol kan vara förknippade med patogenes av arteroskleros under det att högre halter av HDL kolesterol synes minska risken för hjärtsjukdom.An increased cholesterol level, as well as an elevated blood pressure are other important risk factors for heart disease. Serum cholesterol levels generally refer to a combination of HDL, high-density lipoproteins, and LDL, low-density lipoproteins. Increased levels of LDL cholesterol may be associated with pathogenesis of arteriosclerosis, while higher levels of HDL cholesterol appear to reduce the risk of heart disease.

Känd teknik Det finns en stor mängd antilipidemiska medel som förutom en förlängd reduktion av FFA halterna i plasma också reducerar koncentrationen av blodfibrinogen samtidigt som den fibrinolytiska aktiviteten ökas, synbarligen genom en minskning av hepatisk syntes av fibrinogen och antifibrinolysiner, se Pickart, L., Pharmacology 23(5), 271-80, 1981. Som exempel på dessa medel som är biokemiskt och strukturellt olika, kan nämnas allylpropyldisulfid, den aktiva principen från vitlök och lök, acetylsalicylsyra och klofibrat, en fettsyraanalog. De flesta av dessa medel har störande eller allvarliga biverkningar och mer effektiva medel bör eftersträvas.Prior Art There are a large number of antilipidemic agents which, in addition to a prolonged reduction in plasma FFA levels, also reduce the concentration of blood fibrinogen while increasing fibrinolytic activity, apparently by decreasing hepatic synthesis of fibrinogen and antifibrinolysines, see Pickart, L., Pharmacology 23 (5), 271-80, 1981. Examples of these agents which are biochemically and structurally different are allylpropyl disulfide, the active principle of garlic and onions, acetylsalicylic acid and clofibrate, a fatty acid analogue. Most of these remedies have disruptive or serious side effects and more effective remedies should be sought.

Det finns motsägelsefulla data vad gäller den potentiellt hypokolesterolemiska effekten av fermenterade mjölkprodukter hos människa, och huruvida ett intag av dessa produkter har någon betydelse för att förhindra koronara hjärtsjukdomar. Gilliland, S.E., et al., Applied and Environ- mental Microbiology, 49(2): 377-381, 1985, har funnit att vissa stammar av Lactobacillus acidophilus, men ej andra, verkar direkt på kolesterol i mag-tarmkanalen och således kan vara fördelaktiga för att reducera serumkolesterolhalterna och därigenom minska risken för koronara hjärtsjukdomar. Man 510 755 3 rapporterar även att vissa av dessa stammar har förmåga att dekonjugera gallsalter. I denna undersökning användes grisar som en djurmodell.There are contradictory data regarding the potentially hypocholesterolemic effect of fermented milk products in humans, and whether an intake of these products has any significance in preventing coronary heart disease. Gilliland, SE, et al., Applied and Environmental Microbiology, 49 (2): 377-381, 1985, have found that some strains of Lactobacillus acidophilus, but not others, act directly on cholesterol in the gastrointestinal tract and thus can be beneficial in reducing serum cholesterol levels and thereby reducing the risk of coronary heart disease. It is also reported that some of these strains have the ability to deconjugate bile salts. In this study, pigs were used as an animal model.

Det finns idag ingen känd substans som sänker fibrino- genhalten hos riskpatienter på ett säkert och selektivt sätt.There is currently no known substance that lowers fibrinogen levels in at-risk patients in a safe and selective manner.

Beskrivning av uppfinningen Det har nu överraskande visat sig att oralt administrerade levande Lactobacillus bakterier åstadkommer en minskning av serumfibrinogenhalten. Uppfinningen avser följ- aktligen användning av en stam av Lactobacillus för tillverkning av ett läkemedel som reducerar fibrinogenhalten i blod hos dägg- djur inklusive människa.Description of the Invention It has now surprisingly been found that orally administered live Lactobacillus bacteria cause a reduction in serum fibrinogen levels. Accordingly, the invention relates to the use of a strain of Lactobacillus for the manufacture of a medicament which reduces the level of fibrinogen in the blood of mammals, including humans.

Eventuellt medför även den administrerade stammen av Lactobacillus en minskning av serumkolesterolhalten. Upp- finningen avser därför även användning av en stam av Lactobacillus för tillverkning av ett läkemedel för reduktion av fibrinogenhalten liksom kolesterolhalten i blod.The administered strain of Lactobacillus may also cause a decrease in serum cholesterol levels. The invention therefore also relates to the use of a strain of Lactobacillus for the manufacture of a medicament for reducing the level of fibrinogen as well as the level of cholesterol in the blood.

Uppfinningen avser även användning av en stam av Lactobacillus i kombination med en antihyperlipoproteinemiskt aktiv substans för tillverkning av ett läkemedel för reduktion av fibrinogenhalten, liksom kolesterolhalten, i blod. Härigenom kommer det att bli möjligt att använda en lägre dos av det lipoproteinreducerande läkemedlet, vars administration ofta är förenad med allvarliga biverkningar.The invention also relates to the use of a strain of Lactobacillus in combination with an antihyperlipoproteinemically active substance for the manufacture of a medicament for reducing the level of fibrinogen, as well as the level of cholesterol, in blood. This will make it possible to use a lower dose of the lipoprotein-reducing drug, the administration of which is often associated with serious side effects.

Enligt en annan aspekt avser uppfinningen användning av en stam av Lactobacillus för tillverkning av ett läkemedel för profylax och/eller behandling av cirkulatoriska sjukdomar, såsom arteroskleros, hjärt-kärlsjukdomar, koronar hjärtsjukdom, mykardiell infarkt, ischemiska hjärtsjukdomar, stroke.In another aspect, the invention relates to the use of a strain of Lactobacillus for the manufacture of a medicament for the prophylaxis and / or treatment of circulatory diseases, such as arterosclerosis, cardiovascular disease, coronary heart disease, myocardial infarction, ischemic heart disease, stroke.

En föredragen stam av Lactobacillus bör kunna överleva passagen genom magsäcken till mag-tarmkanalen och kunna kolonisera i tarmen. Två faktorer synes vara avgörande för att laktobacillerna kan utöva en ekologisk effekt. För det första är det kapaciteten att kolonisera tarmen, dvs. att överleva i högt antal under en tidsperiod efter den sista administrationen av 510 753 4 levande bakterier. Det andra är förmågan att binda direkt till tarmepitelceller. Detta kan vara en av de faktorer som gynnar kolonisering, men är ej en förutsättning för kolonisering, Förmågan att vidhäfta till epitelet garanterar ej att stammen kan kolonisera.A preferred strain of Lactobacillus should be able to survive the passage through the stomach to the gastrointestinal tract and be able to colonize in the intestine. Two factors seem to be crucial for the lactobacilli to exert an ecological effect. First, it is the capacity to colonize the intestine, ie. to survive in high numbers for a period of time after the last administration of 510 753 4 living bacteria. The second is the ability to bind directly to intestinal epithelial cells. This may be one of the factors that favors colonization, but is not a prerequisite for colonization. The ability to adhere to the epithelium does not guarantee that the strain can colonize.

Exempel på användbara arter av Lactobacillus är L. plantarum och L. rhamnosus. Olika stammar av dessa laktobaciller beskrives i den internationella patentansökningen WO 93/01823, som avser ett förfarande för isolering av stammar av Lactobacillus med förmåga att kunna etableras på human tarm- slemhinna in vivo och också att stanna kvar därefter oral administration under minst 10 dagar. Denna ansökan avser speciellt två nya stammar av Lactobacillus som har deponerats enligt Budapestkonventionen vid DSM - Deutsche Sammlung von Mikroorganismen und Zellkulturen GmbH -, Braunschweig, Tyskland, den 2 juli 1991, nämligen L. plantarum 299, DSM nummer 6595, och L. casei ssp. rhamnosus 271, DSM nummer 6594, liksom varianter därav. En föredragen stam är Lactobacillus plantarum 299V, som har deponerats vid DSM den 16 mars 1995 under nummer DSM 9843.Examples of useful species of Lactobacillus are L. plantarum and L. rhamnosus. Various strains of these lactobacilli are described in International Patent Application WO 93/01823, which relates to a method for isolating strains of Lactobacillus capable of being established on human intestinal mucosa in vivo and also to remain thereafter oral administration for at least 10 days. This application concerns in particular two new strains of Lactobacillus which have been deposited under the Budapest Convention at the DSM - Deutsche Sammlung von Mikroorganismen und Zellkulturen GmbH -, Braunschweig, Germany, on 2 July 1991, namely L. plantarum 299, DSM number 6595, and L. casei ssp rhamnosus 271, DSM number 6594, as well as variants thereof. A preferred strain is Lactobacillus plantarum 299V, which was deposited with the DSM on March 16, 1995 under number DSM 9843.

Denna stam liksom andra stammar av L. plantarum beskrives i den internationella patentansökningen WO 96/29083.This strain as well as other strains of L. plantarum are described in International Patent Application WO 96/29083.

Stammen av Lactobacillus kan administreras i varje livsmedel eller farmaceutisk komposition som kan bevara stammens viabilitet i tjocktarmen. Kompositionen enligt uppfinningen kan administreras på varje lämpligt sätt, företrädesvis oralt eller rektalt, exempelvis i form av lavemang. Den kan också administreras enteralt genom en kateter införd i tarmen via magsäcken eller direkt in i tarmarna.The strain of Lactobacillus can be administered in any food or pharmaceutical composition that can preserve the viability of the strain in the colon. The composition of the invention may be administered by any suitable route, preferably orally or rectally, for example in the form of enemas. It can also be administered enterally through a catheter inserted into the intestine via the stomach or directly into the intestines.

En bärare för stammen av Lactobacillus i den farmaceutiska kompositionen är t.ex. ett fysiologiskt godtagbart substrat som fermenteras av ifrågavarande bakterie, speciellt baserat på stärkelse eller mjölk. Ett lämpligt substrat kan innehålla flytande eller fasta fibrer som ej resorberas i mag- tarmkanalen. Som ett exempel på lämpliga, stärkelsehaltiga substrat kan nämnas cerealier, såsom havre och vete, majs, rotfrukter såsom potatis och vissa frukter såsom gröna bananer. 510 753 5 Ett föredraget substrat för den farmaceutiska kompositionen enligt uppfinningen, som också ger kompositionen ett utmärkt näringsvärde är en näringslösning baserad på havremjöl, exempelvis såsom beskrivits i WO 89/08405. Den fermenterade produkten kan också blandas med ett livsmedel, lämpligen baserat på frukt eller bär, såsom nypon, blåbär, jordgubbar, men också med inerta fasta eller flytande substanser, såsom salin eller vatten.A carrier for the strain of Lactobacillus in the pharmaceutical composition is e.g. a physiologically acceptable substrate fermented by the bacterium in question, in particular based on starch or milk. A suitable substrate may contain liquid or solid fibers that are not resorbed in the gastrointestinal tract. Examples of suitable starchy substrates are cereals such as oats and wheat, maize, root vegetables such as potatoes and certain fruits such as green bananas. A preferred substrate for the pharmaceutical composition according to the invention, which also gives the composition an excellent nutritional value, is a nutritional solution based on oatmeal, for example as described in WO 89/08405. The fermented product can also be mixed with a food, suitably based on fruit or berries, such as rosehips, blueberries, strawberries, but also with inert solids or liquids, such as saline or water.

Behandlingen bör ske en eller flera gånger per dag under en kontinuerlig period. För att ge ett påvisbart resultat bör stammen av Lactobacillus administreras i en daglig dos som ej understiger cirka 10” bakterier.The treatment should be done once or several times a day for a continuous period. To give a detectable result, the strain of Lactobacillus should be administered in a daily dose not less than about 10 ”bacteria.

Biologiskt försök Syftet med denna undersökning var att undersöka effekten av en livsmedelsprodukt (ProViva®) som innehåller Lactobacillus plantarum 299V på halten av serumlipid, speciellt LDL kolesterol, och fibrinogen hos individer med måttligt höjda kolesterolkoncentrationer.Biological test The purpose of this study was to investigate the effect of a food product (ProViva®) containing Lactobacillus plantarum 299V on serum lipid levels, especially LDL cholesterol, and fibrinogen in individuals with moderately elevated cholesterol concentrations.

Material Qçh metoder Livsmedelsprodukten ProViva® var en nypondryck som innehåller havre (O,75 g havremjöl, dvs. 0,07 g havrefibrer/100 ml). Produkten innehåller ca 5 x 107 cfu/ml Lactobacillus plantarum 299 v och ca 0,035 g DL-mjölksyra/100 ml. Vid tillverkningen av denna produkt gjordes den fermenterade havren och nypondrycken separat och blandades därefter samman i för- hållandet 5 % (vol/vol) fermenterat havre (som innehåller 18,5 % (vol/vol) havremjöl) och 95 % (vol/vol) nypondryck. Ren nypondryck, bestående av nyponpulver, sackaros, förtjocknings- medel, citronsyra, askorbinsyra och vatten, användes som placebo. De två produkterna tillverkades båda av Skånemejerier (Lunnarp, Sverige).Material Qçh methods The food product ProViva® was a rosehip drink containing oats (0.75 g oatmeal, ie 0.07 g oat fiber / 100 ml). The product contains about 5 x 107 cfu / ml Lactobacillus plantarum 299 v and about 0.035 g DL-lactic acid / 100 ml. In the manufacture of this product, the fermented oats and rosehip beverage were made separately and then mixed together in the ratio 5% (v / v) fermented oats (containing 18.5% (v / v) oatmeal) and 95% (v / v ) rosehip drink. Pure rosehip drink, consisting of rosehip powder, sucrose, thickener, citric acid, ascorbic acid and water, was used as a placebo. The two products were both manufactured by Skånemejerier (Lunnarp, Sweden).

Undersökningen utfördes på 30 män med en ålder av 42,6 1 2,8 år, som tidigare screenats med avseende på gastro- intestinala symptom, medicinering, tobaksrökning, matvanor och alkoholkonsumtion. Individer med kardiovaskulär sjukdom, 510 753 6 diabetes mellitus och arteriell hypertension uteslöts fràn undersökningen. Kroppsvikt, längd, arteriellt blodtryck och puls antecknades och blod uppsamlades för biokemiska försök. En dubbel-blind studie med placebo utarbetades och deltagarna uppdelades slumpvis i två lika grupper som gavs ProViva® respektive placebo. Egenskaper hos individerna i undersökningen anges i Tabell 1 nedan.The study was performed on 30 men aged 42.6 in 2.8 years, previously screened for gastrointestinal symptoms, medication, tobacco smoking, eating habits and alcohol consumption. Individuals with cardiovascular disease, diabetes mellitus and arterial hypertension were excluded from the study. Body weight, height, arterial blood pressure and heart rate were recorded and blood was collected for biochemical experiments. A double-blind placebo study was developed and participants were randomly divided into two equal groups given ProViva® and placebo, respectively. Characteristics of the individuals in the study are listed in Table 1 below.

Varje individ konsumerade 200 ml ProViva® eller placebo varje morgon i sex veckor och bevarade samma livsstil som tidigare. Vid slutet av denna period undersöktes deltagarna och blod uppsamlades ånyo.Each individual consumed 200 ml of ProViva® or placebo every morning for six weeks and maintained the same lifestyle as before. At the end of this period, the participants were examined and blood was collected again.

Halten kolesterol och triglycerid i serum bestämdes under användning av enzymsatser (CHOD-PAP, GPO-PAP). HDL- kolesterol mättes efter utfällning av lipoproteiner innehållande apoB med fosfotungstensyra i närvaro av Mg”. LDL-kolesterol bestämdes efter fällning av LDL med polyvinylsulfat.Serum cholesterol and triglyceride levels were determined using enzyme batches (CHOD-PAP, GPO-PAP). HDL cholesterol was measured after precipitation of lipoproteins containing apoB with phosphotungstic acid in the presence of Mg ”. LDL cholesterol was determined after precipitation of LDL with polyvinyl sulfate.

Laboratorieförfaranden baserades på testsatser från Boehringer- Mannheim. Glukos mättes med hjälp av glukosoxidas och testsatser från Analco (PAP) och plasmafibrinogen bestämningar skedde enligt metoden enligt Clauss på basis av trombintiden (test- satser från bioMérieux). label; 1 Egenskaper hos individer i de två grupperna Parameter ProViva® Placebo Antal 15 15 Ålder (år) 43,2 i 2,0 42,3 i 3,0 BMI (kg/m5 26,6 i 3,7 25,9 i 2,6 Systoliskt tryck (mm Hg) 133 i 12 125 i 15 Diastoliskt tryck (mm Hg) 88 i 7 83 r 9 510 753 7 I3bgll_2 Biokemiska parametrar hos individerna efter konsumtion av ProViva® eller placebo Parameter ProViva® Placebo mg/dl Före Efter 6 v Före Efter 6v Triglycerider 122 i 61 121 i 52 127 i 42 112 i 32 Kolesterol 233 i 36 216 i 33* 216 i 31 208 i 40 LDL-kolesterol 156 i 36 141 i 34* 140 t 32 134 i 41 HDL-kolesterol 47 i 10 46 i 10 48 i 10 46 i 8 Glukos 110 i 11 112 i 11 104 1 10 109 i 16 Fibrinogen 319 i 82 276 i 58** 320 i 85 307 i 60 * P < 0,01 ** p < 0,001 Bâânliâl Det var ingen signifikant skillnad mellan grupperna vad gäller ålder, body mass index (BMI), systoliskt eller diastoliskt blodtryck (Tabell 1). Resultaten av det biokemiska försöket presenteras i Tabell 2. De ursprungliga koncentra- tionerna av totalt kolesterol, LDL-kolesterol och fibrinogen var màttligt förhöjda i bàda grupperna, medan triglycerid- och HDL- kolesterolvärdena förblev inom normala gränser. Vid detta tillfälle fanns inga statiskt signifikanta skillnader mellan grupperna.Laboratory procedures were based on test kits from Boehringer-Mannheim. Glucose was measured using glucose oxidase and test kits from Analco (PAP) and plasma fibrinogen determinations were made according to the Clauss method based on the thrombin time (test kits from bioMérieux). label; Properties of individuals in the two groups Parameter ProViva® Placebo Number 15 15 Age (years) 43.2 in 2.0 42.3 in 3.0 BMI (kg / m5 26.6 in 3.7 25.9 in 2 , 6 Systolic pressure (mm Hg) 133 i 12 125 i 15 Diastolic pressure (mm Hg) 88 i 7 83 r 9 510 753 7 I3bgll_2 Biochemical parameters in individuals after consumption of ProViva® or placebo Parameter ProViva® Placebo mg / dl Before After 6 v Before After 6v Triglycerides 122 i 61 121 i 52 127 i 42 112 i 32 Cholesterol 233 i 36 216 i 33 * 216 i 31 208 i 40 LDL cholesterol 156 i 36 141 i 34 * 140 t 32 134 i 41 HDL- cholesterol 47 i 10 46 i 10 48 i 10 46 i 8 Glucose 110 i 11 112 i 11 104 1 10 109 i 16 Fibrinogen 319 i 82 276 i 58 ** 320 i 85 307 i 60 * P <0.01 ** p <0.001 Bâânliâl There was no significant difference between the groups in terms of age, body mass index (BMI), systolic or diastolic blood pressure (Table 1) The results of the biochemical test are presented in Table 2. The initial concentrations of total cholesterol, LDL -cholesterol and fibrinogen was moderately elevated in both groups, while triglyceride and HDL cholesterol levels remained within normal limits. At this time, there were no statistically significant differences between the groups.

Resultaten uttryckes i mg/dl. Genomsnittliga värden av standardavvikelser beräknades för de biokemiska parametrarna och underkastades en icke parad Students t-test mellan grupperna eller det parade testet inom varje grupp. Signifikansgraden togs som p < 0,05. Efter 6 veckors försök sjönk fibrinogenhalten i ProViva® gruppen från 319 i 82 till 276 i 58 mg/dl (p < 0,001), vilket representerar en reduktion av 13,5 % i förhållande till det ursprungliga värdet. På liknande sätt reducerades halterna av totalt kolesterol och LDL-kolesterol med 7,3 % (233 1 33 till 216 i 31) respektive 9,6 % (156 i 36 till 141 i 34). Halterna av triglycerid, glukos och HDL-kolesterol förblev oförändrade i denna grupp.The results are expressed in mg / dl. Mean values of standard deviations were calculated for the biochemical parameters and subjected to a non-paired Student's t-test between the groups or the paired test within each group. The significance level was taken as p <0.05. After 6 weeks of experimentation, the fibrinogen content of the ProViva® group decreased from 319 in 82 to 276 in 58 mg / dl (p <0.001), representing a reduction of 13.5% relative to the original value. Similarly, the levels of total cholesterol and LDL cholesterol were reduced by 7.3% (233 in 33 to 216 in 31) and 9.6%, respectively (156 in 36 to 141 in 34). The levels of triglyceride, glucose and HDL cholesterol remained unchanged in this group.

I placebo-gruppen kunde nâgra statiskt signifikanta 510 753 8 skillnader mellan ursprungsvärdena och slutvärdena ej iakttagas.In the placebo group, no statistically significant differences between the initial values and the final values could be observed.

Denna undersökning bekräftar tidigare iakttagelser att livsmedelsprodukter som innehåller vissa stammar av Lactobacillus reducerar halten kolesterol i blod. Det visade sig dock för första gången att en stam av Lactobacillus effektivt kan reducera fibrinogenhalten. Sammanfattningsvis kan därför en komplettering av kosten med Lactobacillus vara fördelaktig för patienter med måttligt höjda kolesterolkoncentrationer för att minska risken för kardiovaskulära sjukdomar.This study confirms previous findings that food products containing certain strains of Lactobacillus reduce blood cholesterol levels. However, it was found for the first time that a strain of Lactobacillus can effectively reduce fibrinogen levels. In summary, therefore, supplementing the diet with Lactobacillus may be beneficial for patients with moderately elevated cholesterol levels to reduce the risk of cardiovascular disease.

Det har tidigare bekräftats att fibrinogen utgör en oberoende riskfaktor för ischemisk hjärtsjukdom och att halten därav i blod regleras av genetiska faktorer liksom miljö- faktorer. Upptäckten att ProViva minskar både fibrinogenhalten och kolesterolhalten gör den till en lovande livsmedelsprodukt för att tidigt förhindra ischemisk hjärtsjukdom.It has previously been confirmed that fibrinogen is an independent risk factor for ischemic heart disease and that its level in the blood is regulated by genetic factors as well as environmental factors. The discovery that ProViva reduces both fibrinogen levels and cholesterol levels makes it a promising food product for early prevention of ischemic heart disease.

Claims (6)

510 753 PATENTKRAV510 753 PATENT REQUIREMENTS 1. Användning av en stam av Lactobacillus för tillverkning av ett läkemedel för reduktion av fibrinogenhalten i blod hos däggdjur inklusive människa.Use of a strain of Lactobacillus for the manufacture of a medicament for the reduction of blood fibrinogen levels in mammals, including humans. 2. Användning av en stam av Lactobacillus i kombination med en antihyperlipoproteinemiskt aktiv substans för till- verkning av ett läkemedel för,reduktion av fibrinogenhalten, liksom kolesterolhalten i blod.Use of a strain of Lactobacillus in combination with an antihyperlipoproteinemically active substance for the manufacture of a medicament for, reduction of fibrinogen levels, as well as blood cholesterol levels. 3. Användning enligt krav 1 eller 2, varvid stammen av Lactobacillus även reducerar kolesterolhalten i blod.Use according to claim 1 or 2, wherein the strain of Lactobacillus also reduces blood cholesterol levels. 4. Användning enligt något av kraven 1-3, för tillverkning av ett läkemedel för profylax och/eller behandling av cirkula- toriska sjukdomar, såsom arteroskleros, hjärt-kärlsjukdomar, koronara hjärtsjukdomar, myokardiell infarkt, ischemisk hjärtsjukdom, stroke.Use according to any one of claims 1-3, for the manufacture of a medicament for the prophylaxis and / or treatment of circulatory diseases, such as arterosclerosis, cardiovascular diseases, coronary heart disease, myocardial infarction, ischemic heart disease, stroke. 5. Användning enligt något av kraven 1-4, varvid stammen av Lactobacillus tillhör arten Lactobacillus plantarum eller Lactobacillus rhamnosus.Use according to any one of claims 1-4, wherein the strain of Lactobacillus belongs to the species Lactobacillus plantarum or Lactobacillus rhamnosus. 6. Användning enligt något av kraven 1-5 av Lactobacillus plantarum 299V, deponeringsnummer DSM 9843.Use according to any one of claims 1-5 of Lactobacillus plantarum 299V, deposit number DSM 9843.
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SE9702860A SE510753C2 (en) 1997-08-05 1997-08-05 Use of a strain of Lactobacillus for the manufacture of a drug for reducing fibrinogen content in blood
ZA986769A ZA986769B (en) 1997-08-05 1998-07-29 Reduction of the fibrinogen level
IL13411398A IL134113A0 (en) 1997-08-05 1998-07-30 Use of lactobacillus for reduction of the fibrinogen level in blood
BR9811825-0A BR9811825A (en) 1997-08-05 1998-07-30 Use of lactobacillus to reduce the level of fibrinogen in the blood
EP98934131A EP0990024B1 (en) 1997-08-05 1998-07-30 Use of lactobacillus for reduction of the fibrinogen level in blood
AT98934131T ATE326524T1 (en) 1997-08-05 1998-07-30 USE OF LACTOBACILLUS TO REDUCE THE CONTENT OF FIBRINOGEN IN THE BLOOD
AU83726/98A AU729413B2 (en) 1997-08-05 1998-07-30 Use of lactobacillus for reduction of the fibrinogen level in blood
PL98338578A PL194697B1 (en) 1997-08-05 1998-07-30 Application of lactobacillus bacteria in lowering fibrinogen level in blood
DE69834560T DE69834560T2 (en) 1997-08-05 1998-07-30 USE OF LACTOBACILLUS TO REDUCE FIBRINOGENIC CONTENT IN THE BLOOD
US09/485,190 US6214336B1 (en) 1997-08-05 1998-07-30 Use of lactobacillus for reduction of the fibrinogen level in blood
KR10-2000-7001211A KR100517755B1 (en) 1997-08-05 1998-07-30 Use of lactobacillus for reduction of the fibrinogen level in blood
JP2000506312A JP4651814B2 (en) 1997-08-05 1998-07-30 Use of Lactobacillus to reduce blood fibrinogen levels
PCT/SE1998/001423 WO1999007827A1 (en) 1997-08-05 1998-07-30 Use of lactobacillus for reduction of the fibrinogen level in blood
CNB988076357A CN1142995C (en) 1997-08-05 1998-07-30 Use of lactobacillus for reduction of fibrinogen level in blood
CA2297023A CA2297023C (en) 1997-08-05 1998-07-30 Use of lactobacillus for reduction of the fibrinogen level in blood
NZ502610A NZ502610A (en) 1997-08-05 1998-07-30 Use of lactobacillus for reduction of the fibrinogen level in blood
ES98934131T ES2259457T3 (en) 1997-08-05 1998-07-30 USE OF LACTOBACILUS TO REDUCE THE LEVEL OF FIBRINOGEN IN BLOOD.
ARP980103872A AR016798A1 (en) 1997-08-05 1998-08-05 USE OF A LACTOBACILLUS CEPA FOR THE PREPARATION OF A MEDICINAL PRODUCT
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